NPI 1497256051

Aviella Knovelrhea Moore

Practitioner Prosthetist Kihei, HI

Practice location

Address: 2439 S Kihei Rd, Kihei, HI 96753-7283
Phone: (808) 357-3504
Mailing address: 1215 S Kihei Rd, Kihei, HI 96753-5220

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence BEO21072 (HI)

Other Prosthetist providers in Hawaii →

Registry record

NPI: 1497256051
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2018
Record last updated: 27 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.